Skip to main content
Article
Validation of a Teamwork Perceptions Measure to Increase Patient Safety
BMJ Quality and Safety (2014)
  • Joseph R. Keebler, Wichita State University
  • Aaron S. Dietz, University of Central Florida
  • Elizabeth H. Lazzara, Wichita State University
  • Lauren E. Beneshek, University of Central Florida
  • Sandra A. Almeida, U.S. Army Medical Command, Fort Sam Houston
  • Phyllis A. Toor, Defense Health Agency
  • Heidi B. King, Defense Health Agency
  • Eduardo Salas, University of Central Florida
Abstract
Background: TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety) is a team-training intervention which shows promise in aiding the mitigation of medical errors. This article examines the construct validity of the TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ), a self-report survey that examines multiple dimensions of perceptions of teamwork within healthcare settings. Method: Using survey-based methods, 1700 multidisciplinary healthcare professionals and support staff were measured on their perceptions of teamwork. Confirmatory factor analysis was conducted to examine the relationship between the five TeamSTEPPS dimensions: Leadership, Mutual Support, Situation Monitoring, Communication, and Team Structure. Results: The analysis indicated that the T-TPQ measure is more reliable than previously thought (Cronbach's α=0.978). Further, our final tested model showed a good fit with the data (x2 (df) 3601.27 (546), p<0.0001, Tucker–Lewis Index (TLI)=0.942, Comparative fit index (CFI)=0.947, root mean square error of approximation (RMSEA)=0.057), indicating that the measure appears to have construct validity. Further, all dimensions correlated with one another, but were shown to be independent constructs. Conclusions: The T-TPQ is a construct-valid instrument for measuring perceptions of teamwork. This has beneficial implications for patient safety and future research that studies medical teamwork.
Keywords
  • patient safety,
  • teamwork,
  • team strategies,
  • medical errors,
  • healthcare
Publication Date
September, 2014
DOI
https://doi.org/10.1136/bmjqs-2013-001942
Citation Information
Joseph R. Keebler, Aaron S. Dietz, Elizabeth H. Lazzara, Lauren E. Beneshek, et al.. "Validation of a Teamwork Perceptions Measure to Increase Patient Safety" BMJ Quality and Safety Vol. 23 Iss. 9 (2014) p. 718 - 726 ISSN: 2044-5415
Available at: http://works.bepress.com/joseph_r_keebler/7/